I am the parent/legal guardian of the above named child who
resides with me within the NACS district at:

Address City Zip

Parent(s)/guardian(s) of all new students registering for
school in Northwest Allen County Schools must provide a driver’s license with
current address to verify residency. The driver’s license must have the same
address on it as one of the documents below.

I am providing proof of residency with my driver’s license
and one of the following documents:(Please note that parent/guardian’s name
must be on one of the documents listed below)

Receipt
for bill paid to a utility company (gas, electric, or water) for service
to the residence listed above

Rental
agreement for the residence listed above.

Signed
affidavit from central office verifying that you are moving into/building
a residence within the Northwest Allen County District.(**see below)

Signed
affidavit from central office verifying residence with third party(***see
below)

I understand that falsification of any information or
documents, either written or verbal, relative to this verification of residency
will result in a recommendation for expulsion of the above named student.

Parent/Legal Guardian Signature Date

**If you are in the
process of building or moving into a home in the NACS district, you must
first go to the administration offices to obtain an affidavit. Please bring your driver’s license and the
purchase agreement with the address of the new home on it or letter from the
builder on the builder’s letterhead stating the estimated move-in date and
address of the new home.

***If a student and
parent are residing in the home of a third party within the NACS attendance
area, they must sign an affidavit at the central office to verify
residency. Both the property owner and
parent are required to present picture identification. The property owner must also bring proper verification
of residence (gas, electric, or water bill).
Third-party affidavits can only
be completed at the central office on/after July 25th. Please contact the middle school that serves your address (CMS or MCMS) prior to this date so
we can walk through the registration process with you.

The central office is open from 7:30 to 3:00 through July 28th and from 7:30 to
4:00 on/after August 1st. It is located
at 13119 Coldwater Road. The phone
number is 637-3155.